Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Keyonia S Stacks

Individual provider Rehabilitation Psychologist · NPI 1679134944

MS. Keyonia S Stacks is a Rehabilitation Psychologist in New York, New York. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
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Practice location Address checks out

184 Eldridge St
New York, NY 10002-2924
Phone: (212) 453-4522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X · Licence 29698163 (PA)

Record details

NPI number1679134944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESJune 26, 2019

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